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General NPI Number Information
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NPI Number | 1235531229
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Entity Type | Organization
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Legal Business Name | LORI J WESSON ARNP, INC
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Dates
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Enumeration Date | 09/22/2014
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Last Update Date | 09/22/2014
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Provider Practice Location Address
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Address Line | 1807 MANASOTA BEACH RD
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City | ENGLEWOOD
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State | FL
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Zip | 34223-6462
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Country | US
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Telephone | 941-822-5117
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1507
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City | ENGLEWOOD
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State | FL
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Zip | 34295-1507
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Country | US
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Telephone | 941-822-5117
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LORI WESSON
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Credential | ARNP
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Telephone | 941-822-5117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | ARNP2196072
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License Number State | FL
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